MEDICARE: ABBRIELLE SCHENCK LMFT-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	206213	TX

General Provider Information

NPI Number	:	1265302095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBRIELLE SCHENCK LMFT-A

Provider Business Mailing Address
First Line	:	1200 E DAVIS ST STE 1151004
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75149-8729
Country	:	US
Telephone Number	:	469-609-1879
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 E DAVIS ST STE 1151004
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75149-8729
Country	:	US
Telephone Number	:	469-609-1879
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	11/06/2025

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